Imaging of frostbite injury by technetium-99m-sestamibi scintigraphy: A case report

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dc.contributor.authorAygit, AC
dc.contributor.authorSarikaya, A
dc.date.accessioned2024-06-12T11:02:18Z
dc.date.available2024-06-12T11:02:18Z
dc.date.issued2002
dc.departmentTrakya Üniversitesien_US
dc.description.abstractThe appearance of superficial tissue is often an unreliable indicator of deep-tissue viability in cases of frostbite. We present a 34-year-old black man who was brought to the emergency department at fourth post-injury day with frostbite injury involving both lower extremities after prolonged exposure to subzero temperatures. In our previous experimental study, 99mTc sestamibi scintigraphy has been employed for evaluating frostbite injuries in rabbit hindlegs. In the case presented, 99mTc sestamibi scintigraphy, as a new diagnostic tool, was performed for detection of skeletal muscle perfusion on the fourth post-injury day. The scintigraphic images show diffusely reduced uptake in soft tissues of both calves and feet. It was thought that this hypoperfuslon was due to viable but ischemic tissue. Five days after medical therapy, 99mTc sestamibi scan showed prominently increased uptake in both calves and feet and skin necrosis was observed. Debridement of necrotic skin and subcutaneous tissue was performed, and split-thickness skin graft was applied for coverage of the skin defect. Healing was good 15 days after grafting. We think 99mTc sestamibi scan can be used for assessment of soft-tissue perfusion and evaluation of treatment in frostbite injury.en_US
dc.identifier.doi10.1177/107110070202300111
dc.identifier.endpage59en_US
dc.identifier.issn1071-1007
dc.identifier.issue1en_US
dc.identifier.pmid11822694en_US
dc.identifier.scopus2-s2.0-0036149699en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage56en_US
dc.identifier.urihttps://doi.org/10.1177/107110070202300111
dc.identifier.urihttps://hdl.handle.net/20.500.14551/21229
dc.identifier.volume23en_US
dc.identifier.wosWOS:000173416400011en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAmer Orthopaedic Foot & Ankle Soc, Incen_US
dc.relation.ispartofFoot & Ankle Internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFrostbiteen_US
dc.subjectInjuryen_US
dc.subject99mtc Sestamibien_US
dc.subjectImagingen_US
dc.subjectTissue Viabilityen_US
dc.subjectSestamibi Scintigraphyen_US
dc.subjectArterial-Diseaseen_US
dc.subjectMetabolismen_US
dc.titleImaging of frostbite injury by technetium-99m-sestamibi scintigraphy: A case reporten_US
dc.typeArticleen_US

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